Sebe Philippe, de la Taille Alexandre, Hoznek Andréas, Chopin Dominique, Abbou Clément-Claude, Salomon Laurent
Service d'Urologie, Hôpital Henri Mondor, AP-HP, EMI 03-37, 51, avenue du Maréchal de Lattre de Tassigny, 94010 Créteil.
Prog Urol. 2003 Sep;13(4):577-80.
Nephrectomy was one of the very first urological procedures to be performed by laparoscopy. The objective of this study was to evaluate the results of retroperitoneal laparoscopic simple nephrectomy.
From 1995 to 2002, 88 retroperitoneal laparoscopic simple nephrectomies were performed in 87 patients with a mean age of 45.3 years (range: 18 to 77 years). The intraoperative and postoperative complications, conversion rate, blood loss, operating time and length of hospital stay were studied for each patient.
The mean operating time was 114 min (range: 35 to 280 min), mean blood loss was 97.6 ml (range: 0 to 300 ml), there were 3 conversions (3.4%) and the mean length of hospital stay was 4.7 days (range: 2 to 13 days). The main postoperative complications were 2 cases of haematoma and one abscess of the nephrectomy site requiring surgical revision and 3 intraoperative thromboses of arteriovenous fistulas in 3 patients with polycystic kidney disease.
Due to its low morbidity, laparoscopic simple nephrectomy has probably become the, reference technique for all indications for nephrectomy for benign disease.
肾切除术是最早通过腹腔镜进行的泌尿外科手术之一。本研究的目的是评估腹膜后腹腔镜单纯肾切除术的效果。
1995年至2002年，对87例平均年龄45.3岁（范围：18至77岁）的患者进行了88例腹膜后腹腔镜单纯肾切除术。研究了每位患者的术中及术后并发症、中转率、失血量、手术时间和住院时间。
平均手术时间为114分钟（范围：35至280分钟），平均失血量为97.6毫升（范围：0至300毫升），有3例中转（3.4%），平均住院时间为4.7天（范围：2至13天）。主要术后并发症为2例血肿和1例肾切除部位脓肿需手术修复，以及3例多囊肾病患者术中出现动静脉瘘血栓形成。
由于其低发病率，腹腔镜单纯肾切除术可能已成为良性疾病肾切除所有适应证的参考技术。
